MIMA INC. (NPI# 1740634500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740634500 |
| Entity Type | Organization |
| Organization Name | MIMA INC. |
| Practice Address |
1069 Delaware Ave Ste 105 Marion OH 43302-1400 |
| Mailing Address |
1728 Marion Waldo Rd Marion OH 43302-7457 |
| Practice Telephone | 7403829024 |
| Practice Fax Number | 7408881871 |
| Mailing Telephone | 7403892297 |
| Mailing Fax Number | 7408880004 |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-04-19 |
| Authorized Official Name | KELLY MCCOY (MANAGER) |
| Authorized Official Telephone | 7406168052 |
| Is Organization Subpart | Y |
| Parent Organization Name | MIDWEST INTERNAL MEDICINE ASSOC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 3890924 | OH | Other Service Providers |
| Street Address |
1069 DELAWARE AVE STE 105 |
| City | MARION |
| State | OH |
| Zip Code | 43302-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932107489 | Raymond John Gardner | Family Medicine | 1069 Delaware Ave, Suite 200, Marion, OH 43302-1400 | 2005-07-08 |
| 1689207292 | Brandon Wilson | Nurse Practitioner | 1069 Delaware Ave, Marion, OH 43302-1400 | 2020-02-21 |
| 1902305907 | Kristin Mcintyre | Physical Therapist | 1069 Delaware Ave, Marion, OH 43302-1400 | 2018-02-05 |
| 1871953174 | Bucyrus Community Hospital | Clinic/Center | 1069 Delaware Ave, Marion, OH 43302-1400 | 2016-02-29 |
| 1407253925 | Katie Hershey | Physical Therapist | 1069 Delaware Ave, Marion, OH 43302-1400 | 2014-11-26 |
| 1568893808 | Sd Cardiothoracic Services, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1069 Delaware Ave, Marion, OH 43302-1400 | 2013-12-12 |
| 1033557236 | Amanda I Gandert | Physician Assistant | 1069 Delaware Ave, Suite 205, Marion, OH 43302-1400 | 2013-06-10 |
| 1780927723 | Bmx Imaging Center, LLC | Clinic/Center | 1069 Delaware Ave, Suite 104b, Marion, OH 43302-1400 | 2013-03-28 |
| 1700180585 | Lab One of Ohio Inc | Clinical Medical Laboratory | 1069 Delaware Ave, Suite 205c, Marion, OH 43302-6459 | 2011-01-07 |
| 1417259680 | Marion Independent Physicians Association, LLC | Family Medicine | 1069 Delaware Ave, Marion, OH 43302-1400 | 2010-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467094284 | Nichole Mattix | Case Management | 1199 Delaware Avenue, Marion, OH 43302 | 2019-10-14 |
| 1770138208 | Peyton Feeney | Nurse Practitioner | 1065 Delaware Ave. Ste. A, Marion, OH 43302 | 2019-08-01 |
| 1609350891 | Progressive Living, Inc | Home Health | 3523 Pleasant Hill R.d., Marion, OH 43302 | 2018-09-24 |
| 1962989400 | Adena Pennington | Community Health Worker | 320 Executive Drive, Marion, OH 43302 | 2018-07-27 |
| 1407372030 | Kelli Ann Love | Licensed Practical Nurse | 559 Uncapher Ave, Marion, OH 43302 | 2017-08-15 |
| 1063947513 | Netcare Usa LLC | In Home Supportive Care | 1275 Lake Blvd, 6, Marion, OH 43302 | 2017-04-21 |
| 1003350448 | Ethan Thomas Craig | Social Worker | 1199 Delaware Ave Ste 107, 195 N Grant Ave, Columbus, Oh 43215, Marion, OH 43302 | 2016-12-04 |
| 1326590043 | Occupational Health Centers of Ohio, Pa, Co | Clinic/Center | 1300 Marion Agosta Road, Marion, OH 43302 | 2016-10-28 |
| 1295115459 | Bradley Neil Casto | Hearing Instrument Specialist | 864 East Center St, Marion, OH 43302 | 2015-06-03 |
| 1881003630 | Billie Roach | Home Health Aide | 182 Barkswood Rd., Marion, OH 43302 | 2014-08-06 |
| Find all providers in zip 43302 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740828367 | Kimberly J Lewis | Specialist | 3832 Cory Corners Rd, Marion, NY 14505-9722 | 2019-12-13 |
| 1861829814 | Michael E Steuer, Md, PC | Specialist | 2860 Interstate 55, Ste 7, Marion, AR 72364-2111 | 2013-10-07 |
| 1922376565 | Shannon Lynn White | Specialist | 2513 W 2nd St, Marion, IN 46952-3241 | 2011-12-11 |
| 1689996332 | Southmountain Children and Family Services | Specialist | 81 W Fort St, Marion, NC 28752 | 2010-02-23 |
| 1376743070 | Mcdowell Orthopaedics & Sports Medicine, P.a. | Specialist | 60 S Medical Ct, Marion, NC 28752-4972 | 2007-07-20 |
| 1376759282 | Normal Life of Indiana | Specialist | 201 N Baldwin Ave, Marion, IN 46952-3533 | 2007-05-15 |
| 1285847459 | Marion Pediatric Clinic | Specialist | 31 E Medical Ct Ste 1, Marion, NC 28752-4969 | 2007-05-07 |
| 1720208762 | Elsie Brown | Specialist | 801 W Boulevard St, Marion, IL 62959-1737 | 2007-05-01 |
| 1174684138 | Marion Surgeons, Inc | Specialist | 1395 N Baldwin Ave, Marion, IN 46952-1913 | 2006-12-13 |
| 1467559153 | Charles William Mc Rae | Specialist | 302 Oliver St, Marion, SC 29571-2338 | 2006-09-17 |
| Find all providers in MARION | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.